HomeMy WebLinkAbout0075032-ElectricCITY OF OSHKOSH No 0075032
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 937 COZY LN Owner MICHAEL S/DIANE P GRISWOLD Create Date 01/07/2000
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change ~ Temp Type ~ Overhead ~ Underground
Volts Circuits 2 Fixtures 2 Neon Sign Neon #
GPs Switches 3 Receptacles 8 Neon Transformers #
Appliances
Use/Nature of
Work
Fees: Val
Issued By:
5FR / DINI
$250.00
Plan Approval $0.00 Permit Fee Paid $15.00
Date 01/07/2000
Permit Voided
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the performance of this work 1 agree to erform a!I ork pursuant to rules governing the described construction.
Signature UL ~ nV Date
~J Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number